Bone Lengthening in the Pediatric Upper Extremity.

Farr, S., Mindler, G.T., Ganger, R. und Girsch, W. (2016) Bone Lengthening in the Pediatric Upper Extremity. J Bone Joint Surg Am., 98 (17). pp. 1490-503.

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Abstract ➤Bone lengthening has been used successfully for several congenital and acquired conditions in the pediatric clavicle, humerus, radius, ulna, and phalanges.➤Common indications for bone lengthening include achondroplasia, radial longitudinal deficiency, multiple hereditary exostosis, brachymetacarpia, symbrachydactyly, and posttraumatic and postinfectious growth arrest.➤Most authors prefer distraction rates of <1 mm/day for each bone in the upper extremity except the humerus, which can safely be lengthened by 1 mm/day.➤Most authors define success by the amount of radiographic bone lengthening, joint motion after lengthening, and subjective patient satisfaction rather than validated patient-related outcome measures.➤Bone lengthening of the upper extremity is associated with a high complication rate, with complications including pin-track infections, fixation device failure, nerve lesions, nonunion, fracture of regenerate bone, and joint dislocations.

Typ des Eintrags: Fachpublikation (peer reviewed)
Bereiche: Orthopädisches Spital Speising > Kinderorthopädie und Fußchirurgie
Benutzer: Waltraud Krutzler
Hinterlegungsdatum: 10 Jan 2017 11:54
Letzte Änderung: 10 Jan 2017 11:54

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